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Reflection on My Elective Posting Journey at SUMS, Japan

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Reflection on My Elective Posting Journey at SUMS, Japan

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1. Were the objectives of the project fulfilled?

Yes. My initial objectives were to widen my knowledge of the healthcare system and its differences in a foreign country, learn how to adapt to a new foreign environment and build international connections and improve my social and soft skills. I can gladly say that all the objectives were fulfilled. I learned so much about the differences present in the healthcare system in Japan and Malaysia especially in the NCD department. We were able to thoroughly compare the risk factors and how our governments chose to tackle different problems. I was also able to adapt well to the environment in Japan especially culturally as we have different social cues and languages. But the Japanese people were so kind and welcoming which made us feel comfortable easily there. I also gained new relationships with the PhD students studying there which were truly something I could not have achieved if it was not for this golden opportunity given by UKM and SUMS.

2. What have you enjoyed or liked the most about the project?

I must say, what I have enjoyed the most throughout this EP was the friendships and professional connections I have made with the people in SUMS. Some respectable Professors have allowed us to learn a lot from them and they allowed us to reach out to them at any time in the future if we were to have any doubts or questions when we start doing our own research which made me feel so grateful as I have a good guidance. I have also made memorable friendships with the PhD students there like Miss Asraa and Miss Azra, who have been so kind to us, treating us to meals and teaching us a lot about the cultures of Japan. Lastly, getting to experience a festival that happens only once a year in Japan which was the Hanabi festival was truly something I enjoyed the most.

3. What have you found challenging about this project?

During my medical elective at Shiga University, one of the challenges I encountered was grasping some of the terminology and concepts presented in the first week’s lectures. With the sessions led by PhD students, the material felt quite advanced and was sometimes tough to follow. As someone eager to learn, I found it a bit overwhelming at first. However, I quickly realized that the PhD students were very approachable and encouraged open dialogue. Their willingness to engage in discussions was incredibly beneficial, as it provided me with opportunities to ask questions and clarify my understanding.

4. What has really worked?

During my two-week elective posting at SUMS, I found several aspects that really worked well in enhancing my learning experience. In the first week, my time in the NCD department further reinforced the value of mentorship and discussion. The department was open to questions and encouraged us to share our thoughts, which created an interactive learning atmosphere. This not only helped clarify complex concepts but also made me feel more confident in engaging with the material.

In the second week, while I was in the MNRC department, the hands-on approach to the experiments were particularly effective. Engaging directly with specimens allowed me to apply theoretical knowledge in a practical setting, deepening my understanding of Alzheimer's disease. Overall, the combination of practical engagement, interdisciplinary collaboration, and supportive mentorship contributed significantly to my learning during this elective.

5. What can be improved in this project?

During my elective at SUMS, I identified several areas where I could improve my approach to enhance my learning experience. I realized that I could benefit from actively preparing for the lectures by reviewing relevant materials beforehand. This would help me familiarize myself with key terms and concepts, making it easier to follow along during more advanced discussions in the NCD and MNRC departments.

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Reflection on My indispensable Elective Posting Experience at Forensic Department of Pathology at Shiga University of Medical Science  

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Reflection on My indispensable Elective Posting Experience at Forensic Department of Pathology at Shiga University of Medical Science  

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1. Were the objectives of the project fulfilled?

Firstly, my objective to explore forensic research through observation and demonstration is fulfilled as i was able to observe five autopsy while i was at SUMS. Thanks to the observation i was able to observe and feel the organs of human and how does death affect the changes in the shape, consistency and color of the organ. Not only that i was also learn the difference the management of autopsy in Japan and Malaysia. It is going to be a truly wonderful experience and knowledge that i gain in a very short time.

The second objective include learning about the culture differences between Malaysia and Japan. I was able to learn how to tea - making ceremony thanks to the forensic student that teach us how to perform it perfectly. I also able to taste different kind of flavor of food that is cooked differently with Malaysian cuisine. I was able to observe how Japanese people live there and their manner which is a very respectful to others. It always surprise me how they are able to be so kind and mannerly with strangers. It is not an easy things to do.

From the knowledge of forensics that i learn, i may help me when i will taking forensics as the 4th year medical student.

2. What have you enjoyed or liked the most about the project?

What i loved the most for this project is how i was able to interact with people there. From i was small i always wish that i can study or live there. One of my ambition includes having friends from all around the world. One day i wish i was able to have networking all around the world and know many kinds of people. Not only that, thanks to the doctors and student there i feel like our presence there is welcomed. Sometimes is not easy for us to adapt to a new environment.

I was able to make friends with students from SUMS. It was very fun to have friend from other country. You can discuss how different lifestyle, academics and many other things. We can exchange opinion while we having dinner together.

3. What have you found challenging about this project?

The most challenging thing for this project would be adapting to the strong odor of a cadaver. Not only it is the first time i observe a fresh cadaver, it also emit a strong smell. It takes a lot not to vomit due to the smell. The doctors have also said that if we feel not well then we should tell them to make sure nothing happens.

4. What has really worked

One thing that has really worked would be interacting with people there. I was able to understand Japanese thanks to watching Japanese show. Thanks to that i was able to talk very much to the students and doctors when i was at SUMS.

The food there is also delicious and more healthy compared to Malaysia. I would love to have more food while i was living there.

5. What can be improved in this project?

One thing that i think can be improved from this project would be my knowledge in forensic. Due to short time i don't have much time to review about the concept and rules of forensic in Malaysia. So i was not be able to answer some of the question that was given by the doctors about the forensic in Malaysia. I wish that i was able to read more and find more information before i went to SUMS.

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Reflection on My Elective Posting Journey at SUMS Japan

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Reflection on My Elective Posting Journey at SUMS Japan

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1. Were the objectives of the project fulfilled?

Throughout my elective posting at Shiga University of Medical Science (SUMS), I aimed to enhance my understanding of various medical fields, develop practical skills in research, and immerse myself in the different cultures of Japan.

In the first week, I was introduced to the NCD Epidemiology Research Center, where I participated in lectures conducted by professors and PhD students. Engaging in discussions after each lecture deepened my understanding of NCDs and highlighted the impact of lifestyle on health. Presenting on NCD cases in Malaysia allowed me to improve my presentation skills and foster connections with my peers and mentors.

In the second week, my assignment at the Molecular Neuroscience Research Center (MNRC) provided hands-on experience in brain research, particularly focusing on Alzheimer's disease. I had the opportunity to perform PCR analysis and use a brain-cutting machine, which gave me valuable experience in handling scientific research. The welcoming environment created by the faculty and PhD students facilitated my learning and encouraged active participation.

Additionally, attending the Hanabi Festival enriched my experience, allowing me to appreciate the cultural aspects of Japan while building relationships with department members. Overall, the combination of academic learning, practical experience, and cultural involvement successfully met my objectives.

2. What have you enjoyed or liked the most about the project?

The thing I enjoyed the most about my elective posting at Shiga University of Medical Science (SUMS) was the opportunity to build networking connections with the experts and PhD students, an experience I never imagined I would have. Making friends with individuals older than me was a humbling experience; their willingness to share their knowledge greatly enriched my learning journey. I also loved learning about Japanese culture, particularly their work ethics and time management practices. Observing how the Japanese approach their tasks with attention to detail and punctuality was truly inspiring. I admired their respectful and humble attitude towards teaching, which further increased my desire to learn. The connections I formed during this time were unexpected but incredibly rewarding.

3. What have you found challenging about this project?

One of the challenges I encountered during this project was understanding some of the terms and concepts used during the lectures in the first week. Since the lectures were presented by PhD students, much of the information was quite advanced, making it difficult for me to fully grasp the content. Thankfully, they were always open to discussion, which provided us with opportunities to clarify our understanding.

Additionally, I underestimated the summer climate in Japan, thinking it would be similar to Malaysia. The most challenging part was having to travel from place to place using public transport in the hot weather. In Malaysia, most of us typically use cars for our journeys, so this was a new experience for me. It taught me the importance of careful planning to ensure that my trips went smoothly.

4. What has really worked?

One aspect that has truly worked for me during my elective posting at Shiga University of Medical Science (SUMS) is the warm welcome I received from everyone. The friendly greetings and genuine invitations to learn in their department demonstrated their acceptance. This supportive learning environment, fostered by faculty and PhD students, encouraged open discussions that significantly enhanced my understanding of complex topics. Despite our diverse backgrounds, the mutual respect and friendliness created a positive atmosphere for collaboration and learning. This environment not only made me feel comfortable but also inspired me to engage more deeply with my peers. As a result, I was able to build a valuable network of connections that may help me in the future, whether for collaborations or other opportunities in my career.

5. What can be improved in this project?

Reflecting on my elective posting journey, I believe there are areas where I could have improved, starting with better preparation on my part. If I had prepared myself with some resources or basic materials before the program, I would have been more familiar with the advanced terminology and concepts, particularly in fields like neuroscience and epidemiology, which were somewhat challenging to fully grasp during the lectures. Pre-reading materials or introductory sessions would have helped bridge the knowledge gap for students like me and made it easier to participate in discussions. Another area where I could improve is handling the language barrier. Even though English was commonly used, I could have prepared better by learning basic Japanese phrases or using translation tools to facilitate communication with local colleagues. This would have made it easier for me to interact and collaborate more smoothly, especially in casual or informal settings where language differences were more apparent.

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Phase 4: Reflection on My Amazing Elective Posting Experience in Japan

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Phase 4: Reflection on My Amazing Elective Posting Experience in Japan

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1. Were the objectives of the project fulfilled?

The objectives of completing this elective posting were absolutely fulfilled. Firstly, I have learnt about the differences between Japan and Malaysia in terms of the healthcare system, the clinical practices and the culture itself. I have gained such useful knowledge about how the healthcare system in Japan works, specifically in Shiga Prefecture where we had our elective posting project. Since I was mainly in research departments, I had such an enriching experience to learn in depth about the critical role of research in combating non-communicable diseases. I have also gained new knowledge from the researchers of the methods they are using in their research projects.

Secondly, I have learned to build international connections among the students and the teachers there. I was able to communicate with different cultural groups like Japanese, Bangladeshi people and even Vietnamese as they are also students doing their PhD there. I have deepened my cultural knowledge by having small talks with them about their home countries and we had enjoyable sessions together.

Lastly, I was able to explore the local culture of Japan. As this is my first time in Japan, I have gained a lot of knowledge about their culture and traditions. I have also enjoyed the food and the fireworks festival that was held during the summer season. I have learned to adapt to foreign surroundings where I am not familiar with, especially with their language. Even though we had our language barriers with them, I found myself learning on how to use the modern technologies to help myself communicate with them. It was an indescribable experience to be able to associate with Japanese people.

2. What have you enjoyed or liked the most about the project?

The most enjoyable experience that I have gained during my elective posting was being able to participate in various activities associated with research, like data analysis, literature reviews and handling simple lab experiments. I had an amazing experience cutting the brain of a rat. I was able to do the cutting using both traditional and modern techniques that were provided at their laboratories. More interestingly, I was able to visit the building where they keep their experimental primates like rats and monkeys. One thing that I was amazed by is how they like to keep things organized. They even have specialized rooms for each type of research they are doing.

3. What have you found challenging about this project?

The challenging thing about this project is probably the language barrier. At first, I found it very hard to fit in and communicate with them as we speak different languages. I was not able to express my questions and curiosity because informal discussions were sometimes held in Japanese. I had trouble communicating with them for the first few days. But in the end, the support of my colleagues in which they tried hard to help me understand made the experience worthy.

Secondly, I found it challenging to understand such a high quality of research being taught by them because as a student with a medical background, I have very simple knowledge of research studies and how they are conducted. It took time for me to learn deeper about the methodologies, the literature reviews and the data analysis used by them but eventually I managed to grasp the knowledge with the help of the international students that are currently completing their PhD.

4. What has really worked?

One thing that has really worked is building international connections as well as improving my soft skills. Being able to represent Malaysians who are doing elective posting in Japan really taught me a lot. My friends and I were able to distribute the tasks and integrate all the information and discussions held among us into an informative presentation of NCDs in Malaysia. We were able to answer questions from the audiences and received such good comments from the director of NCD department as well as our colleagues

5. What can be improved in this project?

One thing that can be improved in this project is enhancing my communication skills by practicing or learning different languages. By learning new languages, this will improve my social interactions with foreign students in the future as well as prepare myself for a greater challenge as a doctor. Learning new languages will help me smoothen my communication with patients and will help boost my self confidence.

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Conclusion of  Elective Posting at Forensic Department of Shiga University of Medical Science

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Conclusion of  Elective Posting at Forensic Department of Shiga University of Medical Science

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1. Were the objectives of the project fulfilled?

The objectives of the project are fulfilled. Firstly, I learned about the healthcare system and the differences in Japan, especially the one related to the forensic department. Japan is also short of those who specialize in forensic just like Malaysia.

Secondly, I observed and practiced my knowledge in terms of clinical practices for common diseases in a foreign country. I was able to apply my knowledge of medicine for three years to help me understand better when observing the autopsies, especially anatomy. Besides, understanding the pathology process makes me understand the mechanism of death and also biochemical knowledge is important as part of determining causes of death. A lot of investigations were done as part of the process.

Thirdly, I learned how to adapt in a foreign country and gain more exposure to the local culture. At first, it was slightly hard to adapt as there is a language barrier and quite a big difference in their culture as compared to us Malaysians. However, the people in SUMS are very helpful as they help to explain if there are any confusions. As for the language barrier, we were still able to communicate by using google translate.

Besides, I was exposed to the strict waste segregation and management in Japan which I find very efficient and hygienic. The basic waste segregation is burnable, non-burnable and recyclable. Next, I learned about their culture of bowing towards people regardless of your social standing or age. It is as a sign of respect or expressing gratitude. I am also amazed at the punctuality of the Japanese, especially the public transport. For instance, the bus would depart at exactly 6.58 am if that is shown on the departure time. The public transport would also arrive 3 to 5 minutes earlier than departure time.

I also get to learn a few Japanese traditional cultures and try some of their local foods. I experienced the Japanese tea ceremony with the students in the department where I learned ways to make matcha properly. The whisking technique of the matcha powder is very important to ensure it tastes good. It needs accurate speed and ways to hold and whisk the matcha. The Japanese tea ceremony will have matcha drink and Japanese sweets like ayu wagashi and konpeito. Wagashi is a mochi filled with red beans and konpeito is traditional sugar candy. There are also ways to drink the matcha from the matcha tea bowl also called chawan in Japan.I also am lucky enough to be going at the same time as the Hanabi Festival which is a fireworks festival in Japan during summer. I get to experience watching the one hour fireworks at Lake Biwa and it was so beautiful.

Fourthly, I built international connections and expanded my social circle. I was able to get to know a few of the lecturers and administration staff in SUMS through my days in the hospital and also during the welcoming party. I also ensure I get their contact information like emails and phone numbers in case I need their help in the future. I also made a few friends from SUMS, especially the fifth year students. We get close as we always spend time together during autopsies and lunch. A few of them that I am close with until now are Hitomi, Rico and Ayumu as we are still in contact through Instagram and Whatsapp. During our last day in Shiga, we all went for dinner in Kyoto before we parted ways. We promised to always keep in touch even if it is 10 years from now. We also welcome them to come to Malaysia anytime soon as we are looking forward to bringing them around Kuala Lumpur.

2. What have you enjoyed or liked the most about the project?

One thing I enjoyed the most about the project is observing the autopsy. I am always excited for all of my autopsy sessions in SUMS. For me, it is a new experience in the medical field which I really looked forward to before this posting started. The whole process just fascinates me so much and I get to learn so much about the human body.

3. What have you found challenging about this project?

The challenging thing about this project is the language barrier. This language barrier actually made it hard for me to express my questions and curiosity when learning. Using google translate is helpful but it limits the interactions as we need to type the questions and answer on our gadgets every time. Some of the conversations became longer and some would be cut short as we struggled to understand each other. However, we still try our best to convey the messages and questions. I tried my best in understanding them and also communicating so that I can learn a lot.

4. What has really worked?

One thing that has really worked is adapting to Japanese culture. I was so worried that I could not follow their culture as they have their own way of living which is quite different from some parts of the world. However, I followed most of them, such as segregating the waste which I find easy and useful at the end of it. I also adapt to their food such as washoku, onigiri and more. Most of the food is served in small portions as compared to Malaysian food. The food is also healthy as they are less oily.

5. What can be improved in this project?

One thing that can be improved in this project is improving my language skills especially in Japanese language. It would be very beneficial as I would be able to communicate easily with them without worrying about translation. Even basic proficiency in Japanese can enhance my ability to engage with everyone in SUMS. This improvement could facilitate my comprehension of forensic procedures.

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Phase 4 : Reflection On My Invaluable Elective Posting Experience In Japan

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Phase 4 : Reflection On My Invaluable Elective Posting Experience In Japan

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1.⁠ ⁠Were the objectives of the project fulfilled?

I achieved my objectives during my time in Japan. I deepened my understanding of the forensic system by actively participating in autopsies and forensic investigations, and by presenting on job-related deaths in Malaysia vs. Japan, which highlighted the differences between the two countries' approaches to forensic medicine.

In terms of anatomy and clinical practices, I applied and expanded my knowledge through direct involvement in forensic cases and by observing investigative knowledge such as forensic entomology and forensic histopathology. This experience enhanced my practical skills and understanding of forensic pathology.

Adapting to life in Japan was another key objective I met. I immersed myself in the local culture by attending events like the Hanabi Festival, exploring traditional Japanese cuisine and visiting cultural towns such as Kyoto, which helped me become more comfortable and engaged in the foreign environment.

Finally, I successfully built international connections and expanded my social circle. Interactions with forensic staff, students, and other international research students enriched my experience and fostered valuable relationships that I’ll carry forward into my future endeavors.

2.⁠ ⁠What have you enjoyed or liked the most about the project?

I enjoyed several aspects of my time in Japan, but a few stand out the most. The cultural experiences were incredibly fulfilling, exploring Japan’s historic streets and participating in traditional events like the Hanabi Festival were highlights that enriched my understanding and appreciation of Japanese culture. I also found great joy in the hands-on forensic work, particularly the autopsies and the process of presenting my findings. These experiences not only deepened my knowledge but also gave me a sense of accomplishment and practical learning.

3.⁠ ⁠What have you found challenging about this project?

During my project, I encountered a few significant challenges that tested my adaptability. One of the biggest hurdles was the language barrier. While most of the forensic staff and students were helpful, navigating everyday interactions and academic discussions was sometimes difficult due to limited Japanese language skills. This often led to misunderstandings or the need for extra effort to communicate effectively.

Another challenge was finding halal food. Japan’s cuisine is diverse, but options that meet halal dietary requirements are limited, especially in more remote or traditional areas. I had to be resourceful in locating suitable places to eat, which sometimes involved extensive research or asking for recommendations from locals.

4.⁠ ⁠What has really worked?

Even though we had a packed and hectic schedule, the time we spent here was incredibly valuable. We gained remarkable experiences from the forensic department, where the staff’s attentiveness and hospitality stood out. They went out of their way to accommodate us, helping us navigate both the academic and cultural aspects of our stay. Their support and guidance made our experience smoother and more enjoyable.

What worked well was our proactive approach to overcoming challenges. Despite the language barrier, we utilized translation apps and sought assistance from locals and colleagues, which facilitated better communication. When it came to finding halal food, our thorough research and networking with locals led us to suitable dining options, allowing us to enjoy the local cuisine while adhering to dietary needs.

Despite the challenges posed by the hot weather and the sometimes overwhelming environment, this experience will remain a core memory for me. Learning forensic medicine in Japan while exploring its rich culture with friends was truly unforgettable. The combination of professional growth and cultural immersion made this journey both rewarding and memorable.

5.⁠ ⁠What can be improved in this project?

Reflecting on the entire experience, a few areas for improvement become clear. Enhancing language preparation before starting the program would have alleviated communication challenges. More intensive language training or learning key Japanese phrases could have facilitated smoother interactions and reduced misunderstandings.

Advance planning for dietary needs was another area where improvements could be made. Identifying halal food options earlier and reaching out to local networks for recommendations would have ensured easier access to suitable meals throughout the stay. Additionally, increasing efforts to integrate more deeply with local culture through community activities or local organizations might have provided a richer cultural understanding.

Refining time management strategies would also be beneficial. Allocating specific times for academic responsibilities and cultural exploration with a clear plan could help balance both aspects effectively. Lastly, building a stronger support network before arrival, such as connecting with previous international students or local guides, could offer valuable resources and make navigating challenges more manageable. These improvements could enhance the overall experience, making it even more rewarding and enjoyable.